Provider Demographics
NPI:1932563335
Name:RABKIN-TURNER, JODI
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:
Last Name:RABKIN-TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7043
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33466-7043
Mailing Address - Country:US
Mailing Address - Phone:561-727-9166
Mailing Address - Fax:
Practice Address - Street 1:605 BELVEDERE RD
Practice Address - Street 2:19
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33405-1253
Practice Address - Country:US
Practice Address - Phone:561-318-6481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-12
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14798101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
81-2944922OtherEIN